Volunteer Form

Name *

First

Last

Are you 18 years of age or older? *

Yes
No

Name of Parent or Legal Guardian if under 18: *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Best Phone Number to reach you: *

Alternate Phone Number (if you have one):

Email *

How did you hear about Persian Dreams & Canine Themes Rescue Society? *

What is your availability for volunteering with PDCT? *

How would you like to be contacted by PDCT? *

Phone
Text
Email
Facebook

If Facebook, please provide your Facebook profile URL: *

Do you have experience volunteering with other organizations? *

Yes
No

If yes, what type of organization(s) and what type(s) of activites did you do with them? *

Please check which volunteer activities you are interested in: *

If other or other clerical, please provide details: *

Do you agree if you are called upon and booked to help with a event and unable to make the event, or need a change of hours, that you will contact PDCT at 403-529-2287 or email persiandreams@hotmail.com within 24 to 48 hours. *

I Agree

Applicant Signature *

Parent/Guardian Signature (if under 18) *

Date *

DISCLOSURE & CONFIDENTIALITY AGREEMENT

During the time that I serve as a Volunteer of PDCT, I realize that I will gain access to information that is considered to be confidential and/or proprietary. Such information relates to submitted proposals, criteria or decisions made-with regards to the business of Persian Dreams & Canine Themes Rescue Society.

Since confidential and proprietary information is crucial to the operation of PDCT, and because PDCT in some instances has the obligation to protect such information, I agree that I will not use, publish or disclose such information during or subsequent to my volunteering or participation on the Board of Directors, and that I preserve the restricted nature of this information except to the extent that it becomes publicly available, or is otherwise lawfully obtained outside the scope of this agreement from third parties.

Additionally, as a Volunteer, I realize that I have an obligation to disclose and eliminate (if necessary) any potential or actual duality of interest or conflict of interest. I hereby certify that I have read, understand and agree to PDCT's policies as described in this statement, with respect to confidential information and conflict of interest.

Applicant Signature for Disclosure & Confidentiality Agreement *

Parent/Guardian Signature (if under 18) *

Date *

PRIVACY STATEMENT:

Persian Dreams & Canine Themes Rescue Society respects your privacy. We protect your personal information and adhere to all legislative requirements with respect to protecting privacy. We do not rent, sell or trade our mailing lists. The information you provide will be used to deliver services and to keep you informed and up to date on the activities of PDCT, including programs, services, special events, funding needs, and opportunities to volunteer. As well, your information may be used to provide tax receipts, contact prize winners, and keep you informed of other events and fundraising opportunities in support of PDCT. Unless otherwise instructed, your name may be used in other expressions of gratitude for your assistance to our organization. If at any time you wish to be removed from any list, simply contact us by phone at 403-529-2287 or via email at persiandreams@hotmail.com.